Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. LPA met with facility administrator, Flordeliza “Baby” Hipolito, and explained the reason for today’s visit. Entrance interview conducted.

At 10:00 A.M. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. This facility is a two-story building. On the ground floor, this facility has twelve (12) rooms and two full and three half (2 full and 3 ½) bathrooms. The second floor contains eight (8) rooms and two and a one half (2 full and 1 ½) bathrooms. T his facility doesn’t have a staff room, facility will provide 24/7 care. The following was observed.

BEDROOMS: Resident bedrooms appeared to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are twenty total bedrooms, all of which were observed during the facility tour; four are private resident rooms and sixteen are shared resident rooms. Carbon monoxide detectors were observed in each room; randomly chosen detectors were tested and functioned properly.

RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. LPA observed sufficient amounts of soap and paper products in each restroom. Between 10:10 A.M. and 10:45 A.M. hot water temperature was tested in a sampling of resident restrooms, which was measured at 112.2 – 117.4 degrees Fahrenheit, which is within the required range.